go back

South Carolina rates for HCPCS Q4114

Integra flowable wound matrix, injectable, 1 cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $2,089.30 / $2,344.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $2,344.23 / $2,454.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $3,467.37 / $5,623.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.40 / $2,951.21 / $3,388.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $1,479.11 / $1,479.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $1,479.11 / $1,479.11
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $2,398.83 / $3,388.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $1,479.11 / $1,778.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $2,818.38 / $2,818.38